HTTP/1.1 200 OK
Cache-Control: max-age=604800
Connection: close
Date: Wed, 22 Mar 2017 22:13:45 GMT
Accept-Ranges: bytes
ETag: "5564fcaf-31e"
Server: nginx
Content-Length: 798
Content-Type: text/html
Expires: Wed, 29 Mar 2017 22:13:45 GMT
Last-Modified: Tue, 26 May 2015 23:07:27 GMT
Client-Date: Wed, 22 Mar 2017 22:14:41 GMT
Client-Peer: 78.109.16.133:80
Client-Response-Num: 1

<center id="fm_call">
<!-- Orig action: callmeback.php --><form name="fm_call" action="" method="post" onSubmit="return validate();" style="margin:0">
<input type="hidden" name="captcha"><input type="hidden" name="act" value="send">

<INPUT name=name type="text" size=20  class="ii" maxLength=255   onfocus="if(this.value=='Ваше имя')this.value='';" value="Ваше имя" />
<input name=ph3 type="text" id="textfield3" size="20" class="ii" onfocus="if(this.value=='Номер телефона')this.value='';" value="Номер телефона" />

<div style="text-align: center;padding: 10px;padding-bottom: 0">
<!-- <INPUT id="imageField3"  name="btn_submit" type="image" src="images/btn-calback.gif"> -->
<span class="button"><button type="submit">Заказать</button></span>
</div>
</form>
</center>